粤港澳大湾区儿童监护人用药行为风险KAP调查及影响因素研究  

Research on KAP survey and influencing factors of medication behavior risk among children’s guardians in the Guangdong-Hong Kong-Macao Greater Bay Area

作　　者：林夏茵 方琼彤 郭新铭[1] 罗文基[1] LIN Xiayin;FANG Qiongtong;GUO Xinming;LUO Wenji(Department of Pharmacy,The Fifth Affiliated Hospital,Sun Yat-sen University,Zhuhai,Guangdong 519000,China)

机构地区：[1]中山大学附属第五医院药学部,广东珠海519000

出　　处：《医药前沿》2025年第13期1-7,共7页Journal of Frontiers of Medicine

基　　金：PSM广东药学科普研究基金(先声基金)(2022KP19)。

摘　　要：目的调查粤港澳大湾区儿童监护人用药知识、态度、行为(KAP)现状,分析儿童家庭用药过程中存在的潜在风险及主要影响因素。方法采取方便抽样法,以广东、香港地区、澳门地区三地的0~14岁儿童的监护人为调查对象,于2024年1—2月,通过“问卷星”线上平台以电子问卷形式进行调查。分析受访者对于药品使用、用药行为、获得用药知识的途径、频率和对这些活动的态度。结果共收集到有效问卷504份。粤港澳大湾区儿童监护人的用药知识、态度、行为平均得分分别为(43.15±13.67)、(33.88±7.35)、(53.62±12.41)分;用药知识得分与性别、年龄、儿童年龄、月收入、居住地、医疗保障状况、受教育程度、工作状况、职业有关;用药态度得分与年龄、职业有关;用药行为得分与性别、职业有关,差异均有统计学意义(P<0.05)。雷达图对用药风险KAP问卷的判断结果显示,60.71%的受访者表示从不“将药品摆放在小孩容易触及的地方”;75.99%的受访者从不“服用已经超过有效期的药品”;73.41%的受访者从不“将药物与牛奶、茶水或咖啡同时服用”。大多数儿童监护人偶尔或从不参加用药教育相关活动,大多数儿童监护人认为有必要开展此类活动。多元线性回归分析结果显示,月收入和职业是用药知识的影响因素;年龄和职业是用药态度的影响因素;性别和职业是用药行为的影响因素(P<0.05)。结论大部分儿童监护人有较强的合理用药意识,但在日常用药中仍存在部分隐患。用药科普宣传活动可依托于粤港澳大湾区健康共同体的基础,开发合作共赢新模式,保障儿童用药安全。Objective To investigate the current status of knowledge-attitude-practice(KAP)on medication among children’s guardians in the Guangdong-Hong Kong-Macao Greater Bay Area(GBA),and to analyze potential risks and main influencing factors in the process of children's family medication.Methods A convenient sampling method was adopted to investigate guardians of children aged 0-14 years old in Guangdong,Hong Kong region,and Macao region.An online survey was conducted in the form of an electronic questionnaire through the"Wenjuanxing"online platform from January to February 2024.The respondents'medication use,behaviors,sources and frequency of acquiring medication knowledge,and their attitudes toward these activities were analyzed.Results A total of 504 valid questionnaires were collected.The average scores of medication knowledge,attitudes,and behavior among children's guardians in the GBA were(43.15±13.67),(33.88±7.35),and(53.62±12.41)points,respectively.Medication knowledge scores were associated with gender,age,child's age,monthly income,place of residence,medical insurance status,education level,employment status,and occupation;while medication attitude scores were associated with age and occupation,and medication behavior scores were associated with gender and occupation,and the differences were statistically significant(P<0.05).The judgment results of radar chart analysis on the KAP questionnaire showed that 60.71%of respondents said that they never"place medications within children's reach";75.99%of the respondents never"take medications that have exceeded the validity date",and 73.41%of respondents never"take medications with milk,tea,or coffee at the same time".Most children's guardians occasionally or never participated in medication education-related activities,but the majority believed such activities were necessary.Multiple linear regression analysis revealed that monthly income and occupation were influencing factors of medication knowledge;age and occupation were influencing factors of medication at

关 键 词：儿童监护人 用药风险 知识-态度-行为 问卷调查 粤港澳大湾区 

分 类 号：R917[医药卫生—药物分析学]